Individual provider Active NPI

Reilly Watson

  • Marriage & Family Therapist
  • Red Bank, NJ
National Provider Identifier
1194697615
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FA00057500 Issued in NJ
Practice address
258 Broad St Ste 4
Red Bank, NJ 07701-2036
Phone
(732) 982-7068
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FA00057500 NJ Primary

Addresses

Primary practice location

258 Broad St Ste 4
Red Bank, NJ 07701-2036

Mailing address

258 Broad St Ste 4
Red Bank, NJ 07701-2036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 8, 2025 through Oct 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37FA00057500NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspera Therapy, LLC Marriage & Family Therapist CurrentSince Sep 28, 2025 Accepting new patients

Locations

258 Broad St
Ste 4
Red Bank, NJ 07701
Phone (732) 784-8348

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1194697615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 BROAD ST STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 BROAD ST STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012036",
            "telephone_number": "732-982-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "REILLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00057500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.